探讨动态心电图在检测阵发性房颤中的作用
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摘要
目的研究分析在阵发性房颤患者的检测过程中,采用动态心电图的临床价值。方法选取2017年1月～2018年1月本院接收的阵发性房颤患者120例,定为研究组,并同期选择本院接受常规体检的人群,定为常规组,给予动态心电图检查以及常规12导联心电图检测,对两组检测结果进行比较,并分析动态心电图的检测准确性。结果阵发性房颤患者诊断过程中,与常规12导联心电图检测结果比较90.83%(109/120),动态心电图检测结果中,漏诊2例,误诊1例,检测准确性为97.50%(117/120),两组对比差异显著(P <0.05);同时研究组最大P波时限、最小P波时限以及P波离散度,均要大于常规组(P <0.05)。结论对阵发性房颤患者选择动态心电图检测,应用价值较高,值得应用。
Objective To study and analyze the clinical value of dynamic electrocardiogram in the detection of paroxysmal atrial ?brillation. Methods 120 patients with paroxysmal atrial ?brillation received in our hospital from January2017 to January 2018 were selected as the study group, and the people who received routine physical examination in our hospital during the same period were selected as the routine group. Dynamic electrocardiogram examination and routine 12-lead electrocardiogram examination were given. The results of the two groups were compared and the detection accuracy of dynamic electrocardiogram was analyzed. Results During the diagnosis of paroxysmal atrial ?brillation, the accuracy of routine 12-lead ECG was 90.83%(109/120). In the results of dynamic ECG, 2 cases were missed diagnosis, 1 case was misdiagnosed, and the detection accuracy was 97.50%(117/120). The difference between the two groups was signi?cant(P < 0.05). At the same time,the maximum p wave duration, minimum p wave duration and p wave dispersion in the study group were all larger than those in the routine group(P < 0.05). Conclusion The dynamic electrocardiogram test for patients with paroxysmal atrial ?brillation has high application value and is worthy of application.
Objective To study and analyze the clinical value of dynamic electrocardiogram in the detection of paroxysmal atrial ?brillation. Methods 120 patients with paroxysmal atrial ?brillation received in our hospital from January2017 to January 2018 were selected as the study group, and the people who received routine physical examination in our hospital during the same period were selected as the routine group. Dynamic electrocardiogram examination and routine 12-lead electrocardiogram examination were given. The results of the two groups were compared and the detection accuracy of dynamic electrocardiogram was analyzed. Results During the diagnosis of paroxysmal atrial ?brillation, the accuracy of routine 12-lead ECG was 90.83%(109/120). In the results of dynamic ECG, 2 cases were missed diagnosis, 1 case was misdiagnosed, and the detection accuracy was 97.50%(117/120). The difference between the two groups was signi?cant(P < 0.05). At the same time,the maximum p wave duration, minimum p wave duration and p wave dispersion in the study group were all larger than those in the routine group(P < 0.05). Conclusion The dynamic electrocardiogram test for patients with paroxysmal atrial ?brillation has high application value and is worthy of application.
引文
[1]江小静.62例阵发性房颤的动态心电图分析体会[J].影像研究与医学应用,2018,2(20):227-228.
[2]潘军.动态心电图与常规心电图在临床心脏病诊断中的应用意义[J].世界最新医学信息文摘,2018,18(74):169.
[3]廖丽红,黄顺红,刘甲兴,等.48h长时程动态心电图检测在阵发性房颤中的应用[J].中西医结合心脑血管病杂志,2016,14(05):535-537.
[4]吴燕璟.十二导联动态心电图在阵发性房颤中的应用研究[J].现代医用影像学,2017,26(06):1850-1852.
[5]王金晶,熊云云,杨昉,等.重复12导联心电图检查对老年缺血性脑卒中患者阵发性心房颤动的筛查[J].中华老年心脑血管病杂志,2017,19(12):1245-1247.
[2]潘军.动态心电图与常规心电图在临床心脏病诊断中的应用意义[J].世界最新医学信息文摘,2018,18(74):169.
[3]廖丽红,黄顺红,刘甲兴,等.48h长时程动态心电图检测在阵发性房颤中的应用[J].中西医结合心脑血管病杂志,2016,14(05):535-537.
[4]吴燕璟.十二导联动态心电图在阵发性房颤中的应用研究[J].现代医用影像学,2017,26(06):1850-1852.
[5]王金晶,熊云云,杨昉,等.重复12导联心电图检查对老年缺血性脑卒中患者阵发性心房颤动的筛查[J].中华老年心脑血管病杂志,2017,19(12):1245-1247.